| Name: | Sunsouth Diabetic Solutions, L.L.C. |
| Jurisdiction: | Alabama |
| Legal type: | Domestic Limited Liability Company |
| Status: | Exists |
| Date of registration: | 27 Aug 1999 (25 years ago) |
| Entity Number: | 000-666-052 |
| Register Number: | 000666052 |
| Historical Names: |
Courtney Land Company, L.L.C.
|
| County: | Morgan |
| Place of Formation: | Baldwin County |
| Principal Address: | DECATUR, AL |
| Registered Office Street Address: | 830 A MCGLATHERY LANE SEDECATUR, AL 35601 |
| Registered Office Street Address ZIP Code: | 35601 |
Activities
OWN/OPERATE/MANAGE REAL ESTATE
| NPI | Enumeration Date | Last Update Date | Mailing Address | Practice Location Address | |||||||||||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 1487767067 | 2006-08-16 | 2008-03-27 | 830 MCGLATHERY LN SE STE A, DECATUR, AL, 356016029, US | 830 MCGLATHERY LN SE STE A, DECATUR, AL, 356016029, US | |||||||||||||||||||||||||||||||||||||||
|
|||||||||||||||||||||||||||||||||||||||||||
| Phone | +1 256-560-0178 |
| Fax | 2563508152 |
Authorized person
| Name | WILLIAM KIRK SHERRILL |
| Role | OWNER |
| Phone | 2565600178 |
Taxonomy
| Taxonomy Code | 332B00000X - Durable Medical Equipment & Medical Supplies |
| License Number | 112436 |
| State | AL |
| Is Primary | No |
| Taxonomy Code | 3336C0003X - Community/Retail Pharmacy |
| License Number | 112436 |
| State | AL |
| Is Primary | Yes |
Other Provider Identifiers
| Issuer | BCBS ALABAMA |
| Number | 51515338 |
| State | AL |
| Issuer | NCPDP PHARMACY NUMBER |
| Number | 0132326 |
| State | AL |
| Name | Role |
|---|---|
| SHERRIL, WILLIAM K | Agent |
| Name | Role | Address |
|---|---|---|
| JONES, GENE C | Member | No data |
| COURTNEY, JOSEPH M JR | Member | 8477-A COUNTY ROAD 64 STE 4DAPHNE, AL 36526 |
| Event Date | Event Type | Old Value | New Value |
|---|---|---|---|
| 2002-07-19 | Name Change | Courtney Land Company, L.L.C. | Sunsouth Diabetic Solutions, L.L.C. |
Date of last update: 15 Aug 2024
Sources: Alabama Secretary of State
